JACQUELINE IVANA STEVENS LMSW
NPI 1033972500
Social Worker in Bridgeport, CT
About Jacqueline Ivana Stevens Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE IVANA STEVENS LMSW (NPI 1033972500) is an individual social worker in Bridgeport, Connecticut, licensed in Connecticut (6921) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Ivana Stevens Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Stevens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, CT 06824
- Reassigned Medicare billing, Connecticut enrollment
- 19 clinicians in this Medicare group
Stratford, CT 06615
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Stevens's NPI number?
The NPI number for Jacqueline Stevens is 1033972500. It was assigned to this individual provider in the NPPES registry on February 6, 2024.
Where is Jacqueline Stevens located?
Jacqueline Stevens practices at 954 Birmingham St, Bridgeport, CT 06606. The listed phone number is (203) 682-5278.
What is Jacqueline Stevens's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Jacqueline Stevens enrolled in Medicare?
Yes. Jacqueline Stevens is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Stevens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Stevens reassigns Medicare benefits to 2 organizations: Southern Connecticut Christian Counseling Center (Fairfield, CT) and Mindfullyme Mental Health PLLC (Stratford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Stevens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Stevens accept?
Health plans from Anthem Blue Cross and Blue Shield list Jacqueline Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacqueline Stevens was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Ivana Stevens, LMSW · NPI 1033972500
Social Worker provider in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1033972500 (Entity type: Individual)
- **Enumerated:** February 6, 2024
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6921 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 954 BIRMINGHAM ST, Bridgeport, CT 06606-3203
- **Phone:** (203) 682-5278
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Connecticut Christian Counseling Center (NPI 1164652871, Fairfield, CT); Mindfullyme Mental Health PLLC (NPI 1306708235, Stratford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033972500) · Data from the CMS NPPES public registry.